13 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... with chest pain/dyspnea ... with dilated RV, McConnell's ... A4c #clinical #cardiology ... #McConnells #sign
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... Sign" c/w acute ... concerning for Pulmonary ... Embolism. ... clinical #ultrasound #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
typically from acute ... strain related to pulmonary ... embolism, but could ... RV infarct or acute ... Echocardiogram #clinical #cardiology
McConnell's sign on POCUS Echocardiogram

An otherwise healthy male presents with pleuritic chest pain.  
Hypokinetic RV
McConnell's sign ... sign) suggests acute ... likely from a pulmonary ... embolism (PE). ... Echocardiogram #clinical #cardiology
Causes of Acute Dyspnea - Differential Diagnosis Algorithm
Cardiovascular
 • Myocardial Infarction*
 • Cardiac Tamponade*
 • CHF
Pleural
Causes of Acute ... Dyspnea - Differential ... Diagnosis Algorithm ... Vascular • Pulmonary ... Embolism* Lower
Pulmonary Embolism - Signs and Symptoms
Most Common Presenting SYMPTOMS 
 - Dyspnea at rest or with
Pulmonary Embolism ... SYMPTOMS - Dyspnea ... Orthopnea (28%) - Calf ... Tachypnea (54%) - Calf ... PulmonaryEmbolism #AcutePE
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
sparing) indicates acute ... highly specific for pulmonary ... embolism in the ... in RV infarct & acute ... PSAX #clinical #cardiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic Dyspnea ... Differential Diagnosis Algorithm ... Stable Angina • Acute ... Embolism* • Pulmonary ... Acidosis #Chronic #Dyspnea
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
and Management Algorithm ... Limb ischemia Pulmonary ... Embolism: - Hx ... Pneumothorax: - Hx: Acute ... Diagnosis #Management #Algorithm
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Disease • Acute ... Embolism ... #HeartFailure #Cardiology ... Differential #Diagnosis #Algorithm